Individual
BRYNN ALYSSA HAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
24 W SERGEANT COURT DR STE 204, SARATOGA SPRINGS, UT 84045-5809
(801) 987-6333
Mailing address
986 S 600 W, PROVO, UT 84601-5951
(480) 369-6535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12118290-4202
UT
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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